BW Occupational Therapy Professional Corporation

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

13102 Issued in CA

Legal business name

BW OCCUPATIONAL THERAPY PROFESSIONAL CORPORATION

Practice address

446 E Newmark Ave
Monterey Park, CA 91755-3102

Phone

(626) 307-5830

Fax

(626) 307-5830

NPI assigned

Mar 7, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cong-Bang Bill Wong, OTD, OTR/L

Title

Ceo

Phone

(626) 307-5830

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1801212352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 E NEWMARK AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917553102",
            "telephone_number": "626-307-5830",
            "fax_number": "626-307-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 E NEWMARK AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917553102",
            "telephone_number": "626-307-5830",
            "fax_number": "626-307-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BW OCCUPATIONAL THERAPY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "CONG-BANG",
        "authorized_official_middle_name": "BILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-307-5830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": "CA",
            "license": "13102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Erik Briglio, MD
• Nicholas Bucher, PT, DPT
• Nikki Arabelle Etrata Bundang, OTD, OTR/L
• Brian William Burney, CRNA
• Angel R Bustamante, PA-C
• Byran Chen DDS, Inc
• C D Healthcare Inc
• C K Chan OD Inc
• C. George Lai, M.D., Inc.
• Beatriz Cabico-Bausley, RN

• Mental Health Occupational Therapist in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Mental Health Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.